Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Eat Behav. 2020 Dec;39:101416. doi: 10.1016/j.eatbeh.2020.101416. Epub 2020 Aug 13.
This brief report examined the relationship of negative urgency (the tendency to act rashly in response to negative emotional states), (lack of) perseverance, (lack of) premeditation, and sensation seeking in association with non-suicidal self-injury (NSSI) and symptoms of bulimia nervosa (BN) in a sample of treatment-seeking transgender (TG) youth.
Eighty-six TG youth with a mean age of 17 (sd = 3.2) agreed to participate in the study. The majority of our sample identified as TG male (n = 60) with 20 participants identifying as TG female and 6 identifying as non-binary. The racial ethnic breakdown of our sample was 8.2% Black, 8.2% Multi-racial, 1.2% Native American, and 82.4% White. Over ¼ of our sample endorsed at least one episode of objective binge eating in the last 28 days and 62% endorsed a history of NSSI.
Negative urgency was significantly associated with the odds of NSSI, objective binge eating, and general eating disorder symptoms. Lack of premeditation was significantly related to the odds of NSSI only. No other factors were significantly associated with NSSI or symptoms of BN.
Negative urgency appears to be an important personality construct in understanding increased risk for NSSI and BN symptoms in transgender youth.
本简要报告探讨了消极冲动（对负面情绪状态做出冲动反应的倾向）、缺乏毅力、缺乏预谋以及感觉寻求与非自杀性自伤（NSSI）和神经性贪食症（BN）症状在接受治疗的跨性别（TG）青年样本中的关系。
86 名平均年龄为 17 岁（标准差=3.2）的 TG 青年同意参与研究。我们的样本中大多数人认同为 TG 男性（n=60），20 人认同为 TG 女性，6 人认同为非二元性别。我们样本的种族民族分布为 8.2%黑人、8.2%多种族、1.2%美国原住民和 82.4%白人。超过四分之一的样本在过去 28 天内至少有一次客观暴食发作，62%的样本有 NSSI 史。
消极冲动与 NSSI、客观暴食和一般饮食障碍症状的发生几率显著相关。缺乏预谋仅与 NSSI 的发生几率显著相关。其他因素与 NSSI 或 BN 症状均无显著关联。
消极冲动似乎是理解跨性别青年中 NSSI 和 BN 症状风险增加的一个重要人格结构。
